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Dental assistants have been taught to screen in Public Health Programs since the first dental assistant programs arrived on the scene. When the Ministry determined that Registered Dental Assistants could screen, we recognize there was a need to get everyone on the same page.
Knowing that RDAs employed by the Saskatchewan Health Authority have graduated from a variety of schools, at a variety of times there was clearly variances in their screening experiences Additionally the SHA has requirements that are very specific to Saskatchewan SDAA had permission to use a BC manual that we reviewed as a template Leslie worked her magic and Ashley White agreed to do the development
We have 155 pages, brimming with content. There are 5 modules.
MODULE 1 is a basic introduction Any one performing screening must have the ability to identify obvious abnormal oral conditions because of their education and experience. By the time the dental assistant completes Module 1, they will know the exact purpose of the manual, they will be aware of the expectations for their earning outcomes, they will be able to describe the screening competencies and they will understand the role of the supervising dental therapist/hygienist in determining their success. For example, they need to successfully complete the worksheets included in the manual and they need to screen a minimum of 40 children with a 95% agreement with their supervisor.
In Module 2 the dental assistant will learn about public health issues as identified by the World Health Organization. They will understand the value of a surveillance program They will learn about the objectives and indicators of the Canadian Oral Health Framework (endorsed by the Saskatchewan Health Authority) – 1) reduce treated and untreated cavities in 6 year old's, decrease the number of 12 year old's with decayed permanent tooth 2) increase the number of FN/Inuit people who receive oral care annually They will review the history of public health dentistry in Saskatchewan from the 1974 Saskatchewan Health Dental Plan – 1987 Children’s Dental Plan & introduction of Dental Health Educators – 1993 – Dental Health Educators - 2011 - RDAs were hired.
Module 3 provides the big picture of screening Screening provides a snap shot of a point in time – that is turned into data. Dental vs Oral – teeth vs whole mouth Screening is conducted for several statistical purposes. The 5 year screening program is conducted on 5 and 12 year old The School Screening is conducted on Grade 1, 2, 7 and 8 children enrolled in a ‘pre-identified’ dental sealant school. Sealants are placed and children requiring treatment are referred. Preschool/Daycare are generally in high-risk area. Toothbrushing programs are implemented. Children are referred. Long Term Care – a LTC Coordinator trains and mentors LTC staff. The coordinator will conduct assessments and create care plans.
Module 4: consists of the “how to”, Saskatchewan style. Consistency is critically important, which is only achieved through calibration. Training is systematic, calibrated to each other and to the clinician. Why? Accurate oral health data. Training includes recognizing healthy oral conditions as well as abnormal oral conditions Definitions must be consistent, with codes for everything observed during screening
Dental Sealants are discussed as the client is assessed for the potential placement of a sealant. The dental assistant can place the sealant and the manual lists the steps (although this is part of training and scope of practice); this is refreshed for the purpose of consistency. Consistent IPC Guidelines are listed.
The manual outlines a protocol for each screening session to ensure that screening is conducted to a standard again this is all about consistency. As well, this ensures that a new hire can screen with the same level of competency as a seasoned veteran. It includes protocols for communication with parents/guardians to ensure that communication is consistent within the Saskatchewan Health Authority Competency is assisted by the PowerPoint which depicts common dental and oral conditions that the RDA may encounter. At the end of Session 4 – the RDA will complete Worksheet 1
Module 5 addresses documentation Within the Saskatchewan Health Authority there are standard requirement that must be met regarding recording, documentation and notifications to parents and guardians (it includes a copy of all required forms) The RDA will review the requirements for recording and documentation including client identification, medical and oral health history, clinical assessment & screening data as well as identifying other oral conditions All services must be conducted in compliancy with FOIPP Document retention is reviewed The RDA is made aware of potential clinics where the client could access care. There is a Worksheet at the end of this section to test knowledge.
These are two additional testing sections Part A is completed after all of the Worksheets and calibration training are completed. Part B is completed four to six weeks of screening experience.
There is a 72 page PowerPoint that is part of the course. Answer keys are provided to ensure that the practitioner is aware of their mistakes.
We will now run through the PowerPoint that supplements the manual.
These are the learning objectives. Essentially the slides are packed with photographs of oral conditions
This section reviews the anatomy of the oral cavity, tooth anatomy, dentition eruption patterns, and adult dentition. It reviews healthy vs unhealth teeth and tissues It reviews the equipment and supplies
Module 2 discusses goals It reminds the practitioner that screening is not an examination It teaches Lift the Lip technique It teaches the Knee to Knee technique
Module 3 has lots of photograph depicting tooth conditions This should ensure that practitioner can identify what they observe and they should recognize conditions that need further assessment
Module 4 is packed with photographs of various tissue conditions that the practitioner may observe They will be able to determine when to make a referral
Module 5 contains more photographs of oral conditions associated with specific health conditions. It discusses strategies for client interaction It provides strategies for recognizing pain in specific populations
When we refer to specific populations the list is as provided.
Oral Health Screening and Assessment
Oral Health Screening
SASKATCHEWAN DENTAL ASSISTANTS’ ASSOCIATION
Module 1: Introduction
Purpose Of Manual
Manual Objectives: Theory And Clinical
Module 2: Background
Introduction To Surveillance, Surveys, And Screening
History Of Dental Public Health In Saskatchewan
Dental Public Health Personnel In Saskatchewan
Module 3: Screening Protocols And
Introduction To Screening
History Of Dental Screening In Saskatchewan
Oral Health Screening & Assessment Within
Saskatchewan Oral Health Program
5 Year Screening Program
School Screening Program
Preschool/Daycare Screening Program
Long Term Care
Module 4: Oral Health Screening And
Assessment Program Management
Importance Of Calibration And Program Consistency
Oral Health Screening Definitions (Priority, Formulas,
Oral Health Screening Program Indices (Methodology And
Module 4: continued
Dental Sealant Assessment Criteria
Methodology For Dental Sealant Assessment
Selecting Dental Sealant Materials
Infection Control Guidelines For Oral Health Screening &
Module 4: continued
Oral Health Screening Protocols
Communication With Parents/Guardian & Child
During An Oral Screening
Worksheet 1: Oral Health Screening Guidelines And
Module 5: Documentation
Recording And Documentation Requirements
Notification To Parents/Guardians
Oral Health Screening Data And Program Statistics
Freedom Of Information And Protection Of Privacy (FOIPP)
Access To Care: Funding Programs & Low (No) Cost Clinics
Worksheet 2: Documentation
Evaluation of Self-Study Manual
Evaluation: Part A
Evaluation: Part B
Appendix A: Glossary Of Terms
Appendix B: Powerpoint - Oral Health Screening &
Assessment Calibration For Oral Health Professionals
Appendix C: Sample Dental Public Health Policies And
Appendix D: Sample Standard Work Documents
Appendix E: Work Sheet Answer Keys
Worksheet 1: Screening Guidelines And Protocols Key
Worksheet 2: Documentation Answer Key
The document is fully referenced.